Courtney Kauchak, MSW, LCSW

Primary specialty

CounselorTaxonomy code 101Y00000X

Practice address

3220 E Jefferson Blvd
South Bend, IN 46615-3028

Phone

(574) 222-2466

NPI assigned

Dec 14, 2016

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

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  • NPI 1942999636
  NPD
• Reflections Counseling

  • Community/Behavioral Health Agency
  • South Bend, IN
  • NPI 1023428711
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1481673600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695686400000",
    "number": "1740724434",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "68467 PEREGRINE PERCH",
            "city": "GOSHEN",
            "state": "IN",
            "postal_code": "465268586",
            "telephone_number": "574-529-4620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3220 E JEFFERSON BLVD",
            "city": "SOUTH BEND",
            "state": "IN",
            "postal_code": "466153028",
            "telephone_number": "574-222-2466"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2600 Oakland Ave",
            "address_purpose": "LOCATION",
            "city": "Elkhart",
            "state": "IN",
            "postal_code": "465171533",
            "country_code": "US",
            "telephone_number": "574-533-1234 x488",
            "fax_number": "574-537-2652",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KAUCHAK",
        "first_name": "COURTNEY",
        "credential": "MSW, LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-12-14",
        "last_updated": "2023-09-26",
        "certification_date": "2023-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katherine Kassab
• Kathleen Toepp Neuhoff, DPM, LLC
• Katie L Steele, PH.D. Wellness Associates, PC
• John P Katsaropoulos, MD
• Brittany Michelle Katz
• Kaurich Chiropractic, PC
• Kevin W Kaurich, D.C.
• Sabrina Kautz
• Philip Richard Kavanagh, DO
• Courtney R Kavanaugh, OTR

• Counselor in South Bend, IN
• Providers in South Bend, IN by specialty
• Counselor in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.